Foot examinations of diabetes patients by primary health care nurses in Auckland, New Zealand.

Abstract:

AIMS:To identify factors associated with patients receiving foot examinations by primary health care nurses. METHODS:A cross-sectional survey of 287 randomly sampled primary health care nurses, from a total of 1091 in Auckland, completed a postal self-administered questionnaire and telephone interview. Biographical and diabetes management details were collected for 265 diabetes patients consulted by the nurses on a randomly selected day. RESULTS:A response rate of 86% was achieved. Nurses examined patient's feet in 46% of consultations. Controlling for demographic variables, foot examinations were associated with age, odds ratio (1.25, 95% CI 0.57-2.74) for patients aged 51-65 years and >66 years (2.50, 1.08-5.75) compared with those ≤50 years, consultations by district compared with practice nurses (14.23, 95% CI 3.82-53.05), special programme consultations compared with usual follow-up consults (8.81, 95% CI 2.99-25.93) and length of consultation (1.89, 0.72-4.97) for 15-30 min and (4.45, 95% CI 1.48-13.41) >30 min compared with consultations ≤15 min, or for wound care (2.58, 1.01-6.61). CONCLUSIONS:Diabetes foot examinations by primary health care nurses varies greatly, and are associated with characteristics of the patient (age, need for wound care) and the consultation (district nurses, diabetes programme and duration).

journal_name

Prim Care Diabetes

journal_title

Primary care diabetes

authors

Daly B,Arroll B,Sheridan N,Kenealy T,Stewart A,Scragg R

doi

10.1016/j.pcd.2013.10.002

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

139-46

issue

2

eissn

1751-9918

issn

1878-0210

pii

S1751-9918(13)00118-6

journal_volume

8

pub_type

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